Abstract
In certain regions of New York state, USA, Ixodes scapularis ticks can potentially transmit 4 pathogens in addition to Borrelia burgdorferi: Anaplasma phagocytophilum, Babesia microti, Borrelia miyamotoi, and the deer tick virus subtype of Powassan virus. In a prospective study, we systematically evaluated 52 adult patients with erythema migrans, the most common clinical manifestation of B. burgdorferi infection (Lyme disease), who had not received treatment for Lyme disease. We used serologic testing to evaluate these patients for evidence of co-infection with any of the 4 other tickborne pathogens. Evidence of co-infection was found for B. microti only; 4–6 patients were co-infected with Babesia microti. Nearly 90% of the patients evaluated had no evidence of co-infection. Our finding of B. microti co-infection documents the increasing clinical relevance of this emerging infection.
Highlights
In certain regions of New York state, USA, Ixodes scapularis ticks can potentially transmit 4 pathogens in addition to Borrelia burgdorferi: Anaplasma phagocytophilum, Babesia microti, Borrelia miyamotoi, and the deer tick virus subtype of Powassan virus
I. scapularis ticks in this region, and in certain other geographic areas in New York and the northeastern United States, are responsible for transmission of 4 other pathogens besides B. burgdorferi: Anaplasma phagocytophilum, the cause of human granulocytic anaplasmosis; Babesia microti; Borrelia miyamotoi; and the deer tick virus subtype of Powassan virus (POWV) [4,5,6,7,8,9]
In this study of 52 adult patients who had erythema migrans but had not been treated for Lyme disease, conducted in the Lower Hudson Valley of New York, the only documented B. burgdorferi co-infection was with B. microti
Summary
In certain regions of New York state, USA, Ixodes scapularis ticks can potentially transmit 4 pathogens in addition to Borrelia burgdorferi: Anaplasma phagocytophilum, Babesia microti, Borrelia miyamotoi, and the deer tick virus subtype of Powassan virus. I. scapularis ticks in this region, and in certain other geographic areas in New York and the northeastern United States, are responsible for transmission of 4 other pathogens besides B. burgdorferi: Anaplasma phagocytophilum, the cause of human granulocytic anaplasmosis; Babesia microti; Borrelia miyamotoi; and the deer tick virus subtype of Powassan virus (POWV) [4,5,6,7,8,9]. To look for evidence of co-infection with these 4 tickborne pathogens, we tested the serum of 52 adult patients with erythema migrans who had not received treatment for Lyme disease
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